Absorbable implants for breast
surgery that conform to the breast
parenchyma and surrounding chest wall have been developed. These implants support newly lifted breast
parenchyma, and / or a
breast implant. The implants have mechanical properties sufficient to support a reconstructed breast, and allow the in-growth of tissue into the
implant as it degrades. The implants have a strength retention profile allowing the support of the breast to be transitioned from the
implant to regenerated
host tissue, without significant loss of support. Three-dimensional implants for use in minimally invasive mastopexy /
breast reconstruction procedures are also described, that confer shape to a patient's breast. These implants are self-reinforced, can be temporarily deformed, implanted in a suitably dissected tissue plane, and resume their preformed three-dimensional shape. The implants are preferably made from poly-4-hydroxybutyrate (P4HB) and copolymers thereof. The implants have suture pullout strengths that can
resist the mechanical loads exerted on the reconstructed breast.